FORM 1023-EZ for LIFE AFTER DIALYSIS INC
| Field | Data |
|---|---|
| EIN | 84-3720065 |
| Case Number | EO-2020021-000551 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFE AFTER DIALYSIS INC |
| Organization’s Mailing Address | 410 WEST 24TH STREET |
| City | RIVIERA BEACH |
| State | FL |
| ZIP | 33404 |
| Accounting period End | 12 |
| Primary contact name | SHANDRA STRINGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SABRINA BETHEL
PRESIDENT AND CEO
410 WEST 24TH STREET
RIVIERA BEACH FL 33404
Officer/Director/Trustee Two
ROCHUN MIDLEY MCCRAY
VICE PRESIDENT
2456 LENA LANE STREET
WEST PALM BEACH FL 33415
Officer/Director/Trustee Three
CATHY LOVE MOORE
DIRECTOR
1669 BRANDYWINE ROAD
WEST PALM BEACH FL 33409
Officer/Director/Trustee Four
AVIS SPRADLEY BROWN
DIRECTOR
4018 LAKE TAHOE CIRCLE
WEST PALM BEACH FL 33417
Officer/Director/Trustee Five
DAWANA EARL
SECRETARY
1180 EDGEHILL ROAD
WEST PALM BEACH FL 33417
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/3/2019 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SABRINA BETHEL |
| Signature Title | PRESIDENT AND CEO |
| Signature Date | 1/17/2020 |
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